First Name*
Last Name*
Date of Birth*
Contact Number*
Alternative Number
Select Modality
Examination Required
(what is written on your request form)
Preferred Date*
Preferred Time
Additional Information

Our staff will contact you to confirm your requested appointment time

based on availability.

For urgent requirements, please contact us on 8357 8855

©2010 Sound Diagnostic Radiology Pty Ltd
257 Fullarton Rd, Parkside, SA 5063 P: 08 8357 8855 F: 08 8357 2868
SITE BY DNA